RFGAAttB - Budget Proposal Form (Revised per Addendum #1).docx

RFGA # S-44300-00010881 for Culturally and AttB Linguistically Specific Behavioral Health Services

ATTACHMENT B – BUDGET PROPOSAL FORM

INSTRUCTIONS

RFGA # S-44300-00010881 for Culturally and Linguistically Specific Behavioral Health Services

Additional Budget Guidance for completing the attached Budget Proposal Form required by RFGA Section 3.4:

Budget Time Period: February 1, 2025 through September 30, 2025.

Maximum Total Budget for each Grant Agreement awarded from this RFGA: $150,000 Applicant must submit a detailed Budget Proposal for the Applicant’s proposed Program activities during the period from February 1, 2025 through September 30, 2025, substantially in the form of the Budget Proposal Form below in this Attachment B, including a Budget Narrative (Recommended length: 2 pages).

The Budget Proposal must not exceed $150,000 and must include:

· Line items that are reasonable, cost-effective, and consistent with Applicant’s Application; and

· A Budget Narrative that provides a clear description and justification for the proposed expenses, which specifically explains how the proposed expenses will allow Applicant to achieve Program goals.

Expenses included in the proposed budget may include the following expense types:

· Personnel Expenses

· Travel Expenses

· Operation Expenses

· Outreach and System Navigation Expenses

· Other Expenses

· Indirect Expenses

See additional information and guidance below regarding the above expenses categories.

The above list includes examples of expenses but is not an exhaustive list of all possible expenditures.

No points will be awarded for the Budget Proposal but failure to submit a Budget Proposal as required by Section 3.4 will cause an Applicant’s Application to be rejected as not Responsive.

Applicant’s Budget Proposal should include:

· Line items that are reasonable, cost-effective, and consistent with Applicant’s Application; and;

· budget narrative that provides a clear description and justification for the proposed expenses, which specifically explains how the proposed expenses will allow Applicant to achieve Program goals.

Documentation to verify staffing and other operational costs will be requested at the time OHA enters into Grant negotiations with successful Applicants.

Personnel Expenses For all personnel costs, the budget proposal must include the total personnel expenses of all staff who will be assigned to support this Program. If an existing part-time or any percentage less than an FTE is assigned to work on this project, explain how time will be tracked for each employee specifically working on this project.

Personnel expenses are limited to expenses for staff working directly on this project. List the name and title for staff directly working on the project in the proposed budget.

Expenses for legal counsel, accounting, facilities, and similar expenses are not considered personnel expenses for this Program. If proposed personnel are not currently on staff, please list the proposed position title and the expected date of hire.

Travel Expenses Travel expenses are limited to current state rates for non-represented employees in effect at the time the expenses are incurred. All travel shall be conducted in the most efficient and cost-effective manner resulting in the best value to the State. Personal expenses shall not be authorized at any time. Only local travel is authorized. Grant funds may be used for out-of-town travel on a case-by-case basis and only if travel is pre-approved for OHA workshops or training.

Grant funds may be used for travel approved by OHA only at the rates and in accordance with the reimbursement procedures set forth in the Oregon Accounting Manual: http://www.oregon.gov/DAS/CFO/SARS/policies/oam/40.10.00.pdf

Outreach and System Navigation Expenses Grant funds may be used for costs approved by OHA for outreach and system navigation materials. OHA will provide flyers and limited other materials that may be used for this project. Materials will be available in multiple languages with customizable versions for organizations to add contact information.

Office space and furniture Grant funds may not be used to fund office space directly. It is expected that Applicant will provide this in-kind.

Indirect Expenses A portion of the total budget may be used to cover Indirect expenses. For more information on Indirect costs/expenses, See Appendix VII to Part 75, Title 45.

The total indirect expense amount in the Applicant’s Budget Proposal is limited to 15% of the Total Direct Expenses proposed in Applicant’s budget (the de minimis indirect cost rate), unless Applicant has previously negotiated a different rate with the Federal Government. (See 2 CFR 200.414(f))).

The budget narrative of Applicant’s Budget Proposal should clearly explain and justify how budget items are necessary and related to carrying out proposed activities related to the accomplishment of Program goals for RFGA S-44300-00010881. See RFGA Section 2.3.2 Project Background and Purpose re: Goals of this RFGA.

Additional Guidance:

Funding from SAMHSA Substance Abuse Prevention and Treatment Block Grants is to be used for prevention, treatment, recovery support, and other services to supplement Medicaid, Medicare, and private insurance services. Specifically, block grant recipients use the awards for the following purposes:

1. Fund priority treatment and support services for individuals without insurance or for whom coverage is terminated for short periods of time.

2. Fund those priority treatment and support services that demonstrate success in improving outcomes and/or supporting recovery that are not covered by Medicaid, Medicare, or private insurance.

3. Fund primary prevention by providing universal, selective, and indicated prevention activities and services for persons not identified as needing treatment.

4. Collect performance and outcome data to determine the ongoing effectiveness of behavioral health promotion, treatment, and recovery support services.

However, the following costs are not eligible for reimbursement under the federal SAMHSA Substance Abuse Prevention and Treatment Block Grants:

1. Costs of construction of any building or structure.

2. Purchase of land.

3. Purchase of vehicles.

4. Purchase of major equipment items.

5. Costs of food and beverages.

6. Costs of entertainment.

7. Costs of fundraising.

8. Costs of lobbying.

9. Costs of travel that are not directly related to the provision of substance abuse prevention and treatment services.

10. Costs of treatment services that are not evidence-based.

https://www.samhsa.gov/grants/block-grants See also, Section 6) Marijuana Restriction of the Notice of Award 1B08TI083963-01 in RFGA Attachment G.

For additional funding restrictions on use of SAMHSA Block Grant funds, see 45 CFR 96.135 and 45 CFR Part 96 Subpart L - Substance Abuse Prevention and Treatment Block Grant.

ATTACHMENT B - BUDGET PROPOSAL FORM

RFGA # S-44300-00010881 for Culturally and Linguistically Specific Behavioral Health Services

Complete the following BUDGET PROPOSAL FORM and submit the completed form with Applicant’s Proposal.

Name of Applicant:

Proposed Budget (February 1, 2025 through September 30, 2025)

Direct Expenses:

Personnel Expenses:

Salary:

Benefits:

Subtotal Personnel Expenses:

Travel Expenses

Mileage – ____ (# miles) @ current State of Oregon rate:

Subtotal Travel Expenses:

Other Expenses

(Item 1 description):

(Item 2 description):

Subtotal Other Expenses:

Total Direct Expenses

Indirect Expenses:

(Item 1 description):

(Item 2 description):

Subtotal Indirect Expenses (not to exceed 15% of the above Total Direct Expenses ):

Total Proposed Budget (Total Direct Expenses + Total Indirect Expenses):

*OHA may request documentation at any time related to the proposed budget and expenses.

Budget Narrative: